Organization
COATESVILLE VOLUNTEER FIRE DEPARTMENT INC
Active
Other names
Coatesville Volunteer Fire Department Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B. ELLETT (EMS COORDINATOR)
(317) 775-6753
Entity
Organization
Contact information
Practice address
8098 MAIN ST., COATESVILLE, IN 46121
(765) 386-2391
(765) 386-7490
Mailing address
PO BOX 502250, INDIANAPOLIS, IN 46250-7250
(317) 849-6628
(317) 849-6632
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0477
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046770A
—
IN
01
—
M300033739
MEDICARE PTAN
IN
Enumeration date
02/28/2007
Last updated
08/03/2023
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